Acupuncture has been used in Eastern countries to address women’s health issues but is not readily adopted in the U.S. especially by the medical establishment. A new study reports preliminary data indicating that acupuncture may improve menstrual health and overcome delays in becoming pregnant. There are experimental data indicating that acupuncture can influence female reproductive functioning, although the actual mechanisms involved are not yet clarified. Acupuncture is a complex intervention yet the evaluation of acupuncture research designs and outcome measures expect a level of commensurability difficult to achieve in complex interventions. A focus on effectiveness rather than efficacy may be a solution. Further research is needed that includes the rich traditions of acupuncture practice and the rigorous methods of evidence-based research.